TY - JOUR
T1 - Women's cognitive and affective reactions to breast cancer survivor stories
T2 - A structural equation analysis
AU - McQueen, Amy
AU - Kreuter, Matthew W.
N1 - Copyright:
Copyright 2011 Elsevier B.V., All rights reserved.
PY - 2010/12
Y1 - 2010/12
N2 - Objective: Compare the immediate affective and cognitive reactions to cancer survivor stories about mammography and breast cancer vs. a didactic, informational approach. Methods: Participants (N=489) were African American women age 40 years and older (mean. =61). Most had ≤high school education (67%), annual household income ≤20,000 (77%), and a prior mammogram (89%). Participants completed surveys before and after watching the narrative or informational video. We used structural equation modeling to examine the large number of inter-related latent constructs. Results: Women who watched the narrative video experienced more positive and negative emotions, found it easier to understand the video, had more positive evaluations of the video, reported stronger identification with the message source (i.e., perceived similarity, trust, liking), and were more engaged with the video. Conclusion: Narratives elicited immediate reactions consistent with theorized pathways of how communication affects behavior. Future studies should examine whether and how these immediate outcomes act as mediators of the longer term effects of narratives on affect, cognitions, and behavior. Practice implications: Stories of other women's experiences may be more powerful than a didactic presentation when encouraging African American women to get a mammogram.
AB - Objective: Compare the immediate affective and cognitive reactions to cancer survivor stories about mammography and breast cancer vs. a didactic, informational approach. Methods: Participants (N=489) were African American women age 40 years and older (mean. =61). Most had ≤high school education (67%), annual household income ≤20,000 (77%), and a prior mammogram (89%). Participants completed surveys before and after watching the narrative or informational video. We used structural equation modeling to examine the large number of inter-related latent constructs. Results: Women who watched the narrative video experienced more positive and negative emotions, found it easier to understand the video, had more positive evaluations of the video, reported stronger identification with the message source (i.e., perceived similarity, trust, liking), and were more engaged with the video. Conclusion: Narratives elicited immediate reactions consistent with theorized pathways of how communication affects behavior. Future studies should examine whether and how these immediate outcomes act as mediators of the longer term effects of narratives on affect, cognitions, and behavior. Practice implications: Stories of other women's experiences may be more powerful than a didactic presentation when encouraging African American women to get a mammogram.
KW - Breast cancer
KW - Disparities
KW - Mammography
KW - Narrative communication
KW - Structural equation modeling
KW - Survivor stories
UR - http://www.scopus.com/inward/record.url?scp=78649629175&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2010.08.015
DO - 10.1016/j.pec.2010.08.015
M3 - Article
C2 - 20850258
AN - SCOPUS:78649629175
VL - 81
SP - S15-S21
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - SUPPL. 1
ER -